Afyonkarahisar Health Science University, Faculty of Health Science, Surgical Nursing Department, 03200, Afyonkarahisar, Turkey.
Afyonkarahisar Health Science University, Faculty of Health Science, Fundamentals of Nursing Department, 03200, Afyonkarahisar, Turkey.
J Tissue Viability. 2024 May;33(2):262-268. doi: 10.1016/j.jtv.2024.03.013. Epub 2024 Mar 21.
Medical device-related pressure injuries (MDRPIs) are becoming increasingly common across all healthcare services and age groups in terms of both incidence and severity. It is crucial for nurses to be aware that MDRPI is a potential complication of healthcare services. This study aimed to assess the preventive practices of intensive care unit (ICU) nurses in relation to MDRPIs.
This cross-sectional and descriptive study was conducted with 96 nurses between March 10 and April 31, 2021. The "Nurse Information Form" and the "MDRPIs Prevention Practices Questionnaire" form were used for the data collection.
The overall practice scores of ICU nurses in preventing MDRPIs were 50.83 ± 12.93. Out of the participants, 57.3% (n = 55) achieved a total practice score of 51 and above out of 68 (considered an acceptable score indicating proficiency in positive practice). The items with the most negative practice levels among nurses were related to statements such as 'I apply hydrocolloid, thin foam, or a silicone-type dressing to prevent MDPRI' (2.86 ± 0.85) and 'I use the normal pressure injury staging when staging the MDRPI' (2.88 ± 0.86). No significant difference was observed between the mean scores of MDRPI prevention practices and the characteristics of ICU nurses, such as education level, years working in the unit, and years of experience in the profession (p > 0.05). Furthermore, a positive correlation was found between age and practice levels in preventing MDRPIs (p < 0.05).
The study results indicate that the practice levels of ICU nurses in preventing MDRPIs were insufficient. We believe that regular in-service training programs, grounded in clinical practice, are necessary to enhance nurses' awareness and management of MDRPIs.
医疗器械相关性压力性损伤（MDRPI）在各医疗保健服务和年龄组中，无论是在发病率还是严重程度上都越来越常见。护士必须意识到 MDRPI 是医疗保健服务的潜在并发症。本研究旨在评估重症监护病房（ICU）护士预防 MDRPI 的实践情况。
这是一项横断面和描述性研究，于 2021 年 3 月 10 日至 4 月 31 日期间对 96 名护士进行了研究。使用“护士信息表”和“MDRPIs 预防实践问卷”表收集数据。
ICU 护士预防 MDRPI 的总体实践评分得分为 50.83±12.93。在参与者中，57.3%（n=55）的总实践评分达到 68 分以上（被认为是熟练掌握积极实践的可接受分数）。护士实践水平最低的项目与“我应用水胶体、薄泡沫或硅酮型敷料预防 MDPRI”（2.86±0.85）和“我在对 MDRPI 进行分期时使用正常压力性损伤分期”（2.88±0.86）等陈述有关。MDRPI 预防实践的平均得分与 ICU 护士的特征，如教育水平、在单位工作年限和专业工作经验年限之间没有显著差异（p>0.05）。此外，年龄与预防 MDRPIs 的实践水平之间存在正相关关系（p<0.05）。
研究结果表明，ICU 护士预防 MDRPI 的实践水平不足。我们认为，有必要开展基于临床实践的定期在职培训计划，以提高护士对 MDRPI 的认识和管理。
